Effectiveness Study of a Dialectical Behavioral Treatment for Adolescents With Emotional Instability and Their Families

NCT02991586 | Completed

• 1 other identifier: FALGregorioMaranon
• Study Type: interventional
• Target: 96
• Locations: 1 country
• Sites: 1

Brief Summary

Emotional instability disorder (IE) is appreciable since adolescence, and crises (suicidal ideation, self-harm, impulsive acts and brief psychotic episodes) carry a high use of health resources, coupled with the suffering of families who feel helpless and difficulties in handling. this study is composed of three diferents studies: . The first study's goal is to determine if there are diferences and, which ones, between family functioning and cope strategies between adolescents with IE and their families, and families of a control group.

• the purpose of the second study is to evaluate the effectivenes of a dialectical behavior therapy for adolescents with IE and their families who are in treatment in the Child Abd Adolescent Mental Heath Service of the Hospital sant Joan de Déu Terres de Lleida. This treatment consist on 2 preliminary sessions with parents and patients and 12 group sessions which purpose is to teach skilss to manage emotions based on dialectical Behavior Therapy.
• finally, the third study is designed to evaluate the effectiveness of a dialectical behavior therapy (DBT) for parents of adolescents with IE who are in treatment in the different network devices of Child and Adolescent Mental Health of the Community of Madrid. Treatment goals are the development of communication skills, validation and crisis management as well as increase understanding and competence of the pathology. The DBT intervention will begin with two individual sessions with parents of patients and 10 theoretical and practical seminars in group format (6-7 families) following the model proposed by Marsha Linehan. The DBT interventions will be added to "standard treatment" that a patient with IE receives in the investigative devices.

Conditions

Emotional Instability

Keywords

Emotional Instability; Family Therapy; BPD; DBT

Outcome Measures

Primary Outcomes (3)

• Difficulties in Emotional Regulation Scale (DERS). (Hervás 2008)

  one year

• Automatic Anger and Hostility Thoughts Scale (IPRI) (Magán 2010)

  one year

• Coping Styles and Strategies Scale (COPE) (Crespo 1997)

  one year

Secondary Outcomes (1)

• Children Relapses and Self harms Questionnaire (Ad Hoc)

  one year

Study Arms (2)

Dialectical Behavior Therapy

EXPERIMENTAL

Dialectical Behavior Therapy (DBT) is a cognitive behavioral treatment that was originally developed to treat chronically suicidal individuals diagnosed with borderline personality disorder (BPD) and it is now recognized as the gold standard psychological treatment for this population. In addition, research has shown that it is effective in treating a wide range of other disorders such as substance dependence, depression, post-traumatic stress disorder (PTSD), and eating disorders. In this research DBT skills will be taught to parents of adolescents with high emotional instability

Behavioral: Dialectical Behaviour Therapy

Control

NO INTERVENTION

Control: The "No intervention arm" in this research is defined as follow:, sons and daughters are in their respective treatment but parents are nor receiving any DBT intervention

Interventions

Dialectical Behaviour Therapy BEHAVIORAL

Group of families

Dialectical Behavior Therapy

Eligibility Criteria

• Age: 12 Years - 17 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)

You may qualify if:

• Parents of patients aged 12-17 years whose child is at least 3 criteria of borderline personality disorder ( Diagnostic and Statistical Manual of Mental Disorders 5 ) .
• Talk correctly Spanish correctly.
• Coexistence with son and willingness to participate in the groups.
• Informed consent.

You may not qualify if:

• Mental retardation.
• Being involved in some other structured DBT family intervention.
• Parents whose children are not receiving any treatment .
• Participated in Actions for Treatment of Personality in Adolescence (ATRAPA TAI)

Sponsors & Collaborators

• Hospital General Universitario Gregorio Marañon: lead

Study Sites (1)

Instituto Provincial de Psiquiatria, Hospital General Universitario Gregorio Maranon. Calle Ibiza 43

Madrid, 28009, Spain

Location

Related Publications (1)

• Storebo OJ, Stoffers-Winterling JM, Vollm BA, Kongerslev MT, Mattivi JT, Jorgensen MS, Faltinsen E, Todorovac A, Sales CP, Callesen HE, Lieb K, Simonsen E. Psychological therapies for people with borderline personality disorder. Cochrane Database Syst Rev. 2020 May 4;5(5):CD012955. doi: 10.1002/14651858.CD012955.pub2.

  PMID: 32368793 DERIVED

MeSH Terms

Interventions

Dialectical Behavior Therapy

Intervention Hierarchy (Ancestors)

Behavior Therapy; Psychotherapy; Behavioral Disciplines and Activities

Study Officials

• Maria Mayoral, PhD

  Gregorio Marañon Hospital

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Clinical Psychologist

Study Record Dates

• First Submitted: June 10, 2016
• First Posted: December 13, 2016
• Study Start: May 1, 2016
• Primary Completion: January 1, 2022
• Study Completion: April 1, 2022
• Last Updated: May 27, 2022

Record last verified: 2022-05

Data Sharing

• IPD Sharing: Will not share

Locations

ES (1)